Have you ever served on a board or commission for the Town of Mount Pleasant? (Yes or No) If so, provide information

Have you ever served as an elected official of a local government? (Yes or No) If yes, specify what type of service

Education

Occupation (If retired, state former occupation

Please describe how your educational background, work experience, or other life experiences qualify you to contribute to the mission of this board

Professional Affiliations

Service club/association memberships

A RESUME IS REQUIRED. Please attach to this application form.

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Is there any way that you or a member of your family would stand to benefit financially by your service on this board or commission? Yes or No If yes, explain

Date

I certify that I am the author of this application. I certify that all information required for review of this submittal is included. If an application is found to be incomplete, the primary contact will be notified. I understand that selecting the box below will serve as my electronic signature.